| NPI | 1235763228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA58007) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-09-02 |